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<br />~ <br /> <br />sfY <br /> <br />OWNER' S NAHE~o..X' \ €.. Y <br />OWNER'S ADDRESS <br />JOB ADDRESS 3 (J Da~ LCtu)(1nolc1. Loop <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />\-< l i. ~ \ C\ \ nS K i_ <br /> <br />PHONE <br /> <br />l-cr-r#t9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' I 4-,~lt)'!J.( ~ () l/oD - n007j() - () I q D <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: _single Faaily _K/F _' of Units _K/H <br /> _c~ercial _Indust. _Swill. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~LDING <br /> <br />$ <br /> <br />J/!)O "00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~J <br /> <br />CONTRACTOR SECTION <br /> <br />COHPANYft+~ \\\ Aq],'W'U 4- Q.ew"\ e~'"\\- \ nc~ . <br />& . State Cert. or Regist~ . 9--1.:, <br />1.7& __ City License Registration' <br />****************************************** <br /> <br />BUILDER . <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. t <br />SionAture City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />